VisionSource! - North America's Premier Network of Private Practice Optometrists
North America's Premier Network of Private Practice Optometrists


 Providing Quality Eye Exams

in Lewiston for over 60 years!


Dr. Jason Ritter


939 Bryden Avenue
Lewiston ID 83501
(208) 743-1761 



Monday - Friday

8:00am - 5:00pm
*Please call for

an appointment




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Ocular Disease

The doctors of Bryden Family Vision have extensive training in the diagnosis, treatment and management of diseases which affect the human eye and visual system.  Some of the more common ocular conditions that we monitor are described below.   We take exceptional pride in educating our patients about the conditions that threaten their vision. 


Dry Eye Syndrome 

We take dry eye symptoms very seriously. Our treatment plans are designed to take a step-by-step approach to improving the quality of the tear layer, thus improving your eye comfort and visual clarity.  There are many factors that contribute to dry eye: medications, systemic conditions, eyelid disease, age, and environment.   We will review the possible reasons for your ocular irritation.  In some cases we will order laboratory testing or recommend an evaluation from your primary care provider for autoimmune or allergy testing. You can be sure that we will work with you to do all we can to improve the comfort of your eyes.


(Photos. Top: The irregular tear pattern across a cornea that has been diagnosed with Salzmann's nodular degeneration.  The poor tear film causes dry eye symptoms. Photo by Petracca, OD.

Bottom: A test often performed in office to observe the ability for eyelids to make tears.  If the oily tears are blocked, then the eyes often feel gritty and irritated.  We actively treat these tear producing glands to improve the quality of your tear production and help relieve your symptoms.  Photo by Petracca, OD)






Glaucoma is known as a silent thief of sight.  A person is often 

Glaucoma Bryden Family Vision Lewiston Optometry

unaware that the nerve in the back of their

eye is being damaged until it's too late.  Glaucoma occurs when the pressure inside the eye increases to a
 point that there is damage to the optic nerve.  For an accurate diagnosis of glaucoma, there are additional tests that need to be performed, all of which are offered at our office. We provide a thorough evaluation of the optic nerve and thickness of the retinal nerve fiber layer.  We will also test your visual field (side vision) to determine if early changes are occuring.   (Photo: Optic nerve atrophy from glaucoma.  Photo by Petracca, OD)

At Bryden Family Vision, we make sure you understand all the testing results so you have an accurate understanding of your glaucoma status. 

 (Photo: A special lens is used to monitor the inside of the eye.  In this picture the drainage region was previously damaged and the eye pressure has increased, subsequently glaucoma was diagnosed.  Photo by Petracca, OD)





Diabetic Retinopathy  

Diabetes is a condition that can damage the vascular system throughout the body.  Diabetic changes to the retina at the back of the eye is called Diabetic Retinopathy.  When this occurs the blood vessel walls begin to leak and swelling and hemorrhages develope.  The comprimised vascular system can induce the growth of new blood vessels which also leak and ultimately cause scarring.  Once the retina has been scarred  its functional ability is limited.  In the end this can cause reduced vision and even blindness.  Annual diabetic eye examinations are important for detecting this condition.

(Photo: Several hemorrhages caused by diabetes. Petracca, OD)




Cataracts are a clouding or opacity of the natural internal lens of the eye.  Various factors including age, ultraviolet light exposure, and certain medications can contribute to the formation of cataracts.  The main symptoms are blurred and/or cloudy vision, and glare.  These symptoms are usually noticed initially while driving at night.  The best treatment is to have this cloudy natural lens replaced with a clear artificial lens.  This procedure is known as cataract surgery. There are many artificial lens options now available.  Some can correct for astigmatism, while others can even help restore a person's ability to see both near and far objects.  At Bryden Family Vision, we are happy to work closely with the top cataract surgeons in the Northwest to assist in providing you the best possible care for your cataracts.  

(Photo: A dense cataract causing severe visual disturbance. Photo by Petracca, OD)



For more information see Pacific Cataract and Laser Institute.


                                                                                      Macular Degeneration

Age-Related Macular Degeneration is a condition that decreases a person's central vision. There are many levels of progression of this condition that can range from mild vision changes to legal blindness.  There are two main types of macular degeneration, commonly called "wet" and "dry".  Many recent medical advances have increased the diagnosis and treatment options for wet macular degeneration.  In advanced cases that require treatment, we work closely with specialized retinal surgeons to provide you with the best possible care.  In addition, even if one's vision is diminished, we provide Low Vision services to help increase your visual function.  See Bryden Family Low Vision Services for more information. (Photo: Advanced macular degeneration. Photo by Petracca, OD)